Status:

COMPLETED

Photodynamic Therapy for Cholangiocarcinoma

Lead Sponsor:

Hepatopancreatobiliary Surgery Institute of Gansu Province

Conditions:

Cholangiocarcinoma Non-resectable

Eligibility:

All Genders

18-80 years

Phase:

NA

Brief Summary

Comparison of the bile duct patency with photodynamic therapy (PDT) and regular Endoscopic Retrograde Cholangiopancreatography(ERCP) stents in unresectable cholangiocarcinoma.

Detailed Description

Cholangiocarcinoma is a malignant tumor originating from the bile duct epithelium, accounting for about 70% of the malignant tumors of the bile duct system. Patients have no obvious clinical symptoms ...

Eligibility Criteria

Inclusion

  • ERCP cholangiocarcinoma(the tumor is unresectable or patient can't accept surgery in the situation, the tumor can be resected but the patients cannot tolerate surgery);

Exclusion

  • Proximal cholangiocarcinoma (Bismuth type Ⅲ-Ⅳ, or intra-hepatic cholangiocarcinoma);
  • Patients with Karnofsky Performance Scale (KPS) score≤70;
  • Expected survival≤3months;
  • Patients with porphyria;
  • Coagulation dysfunction (INR\> 1.5) and low peripheral blood platelet count(\<50×10\^9 / L) or using anti-coagulation drugs;
  • Bilirubin could not be reduced to less than 100mmol/L within 1 month after drainage;
  • Patients have intrahepatic metastasis or distant metastasis;
  • Patients with no pathological diagnosis;
  • known to allergic to study drug(porphyrin drugs) or other similar and related compounds;
  • Other photosensitizers have been used within 4 weeks prior;
  • Metal biliary stents were placed previously;
  • Patients with contraindications to ERCP;
  • Patients with HIV infection;
  • Pregnant, parturient, or breastfeeding women;
  • Patients complicated with other malignant tumors;
  • Patients with severe liver function damage;
  • Patients who were in cachexia, liver abscess, or advanced patients who were unable to tolerate PDT;
  • Patients with other serious physical or mental illnesses that prevent researchers to enroll them in this study as subjects;
  • Patients with other contraindications for photodynamic therapy.

Key Trial Info

Start Date :

April 17 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 19 2024

Estimated Enrollment :

86 Patients enrolled

Trial Details

Trial ID

NCT04860154

Start Date

April 17 2021

End Date

November 19 2024

Last Update

November 20 2024

Active Locations (11)

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Page 1 of 3 (11 locations)

1

Southwest Hospital, Army Medical University

Chongqing, Chongqing Municipality, China, 400038

2

The First Hospital of Lanzhou University

Lanzhou, Gansu, China, 730000

3

The Second Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China, 510260

4

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China, 430022